Re Leaflet translations. You could try contacting the Disability Resource Team for North Derbyshire Community Health Care Services as they had their leaflets done in a number of languages and large print etc. They used local representative groups to re-write and then translate the information to overcome the problems of inappropriate translations. If anyone wants a name and contact number please e-mail me personally on [log in to unmask]
> -----Original Message-----
> From: [log in to unmask] [SMTP:[log in to unmask]]
> Sent: Thursday, February 24, 2000 4:08 AM
> To: [log in to unmask]
> Subject: Digest of physio - volume 1 #588
>
> Subjects of messages in this digest:
>
> Re: Babywalkers
> Re: I'm back..
> Re: help
> quit physio
> Re: QUIT PHYSIO
> Leaflet translations
> Re: Leaflet translations
> suspend physio
> Re: pain & paresthesia.
>
>
> ----------------------------------------------------------------------
>
> Date: Tue, 22 Feb 2000 20:24:41 -0800
> From: "gilbert borkowsky" <[log in to unmask]>
> To: <[log in to unmask]>
> Subject: Re: Babywalkers
> Message-Id: <006501bf7db6$f910a240$481caecc@gil>
>
> Re Babywalkers
>
> As well as the safety aspect, there is another theory not to use the walkers
> or similar equipment.(in Canada, baby walkers have been banned for some time
> now).
>
> Floor play in babies provide a lot of weightbearing opportunities through
> their arms and shoulders. The repetition of moving their bodyweight forward
> and sideways helps develop the arches in the hands. Also babies have many
> more motor planning opportunities. As a mother of 4, and grandmother of 8,
> the temptation to use equipment is great, but it is very rewarding to see
> toddlers come up naturally through floor play and have wonderful balance and
> trust in their own bodies. I never say NEVER to use equipment, but if one
> gets one, use it when one really needs a few minutes to get the dinner on
> etc.
>
> Rita Borkowsky P.T.
>
>
>
> ------------------------------
>
> Date: Tue, 22 Feb 2000 14:03:30 -0500
> From: "Barbara Banwell" <[log in to unmask]>
> To: <[log in to unmask]>
> Subject: Re: I'm back..
> Message-Id: <004501bf7d67$83e09420$11145dd8@bbanwell>
>
> THanks for the wonderful message about Haiti--is there any way that others
> can help without actually going to Haiti??? Please post things that might be
> done to help--Barbara Banwell
>
>
>
>
> ------------------------------
>
> Date: Wed, 23 Feb 2000 06:59:44 EST
> From: [log in to unmask]
> To: [log in to unmask]
> Subject: Re: help
> Message-Id: <[log in to unmask]>
>
> I'm in the process of making few educational/ instruction video tapes in how
> to use different treatment modalities. Picture based Hand outs of all kinds,
> Donation of equipment's, medical supplies, or financial support to certain
> medical nonprofit organization , http://www.haitimedical.com/, Can be
> helpful. My Project is focused on paediatrics as out/in patient service,
> including prosthetics and orthotics.
> If anyone has ideas or suggestions about treatment methods, or applications
> with least supplies needed it will be great.
> I'll provide more information after a coming meeting with few fundraising
> agents.
>
> Muna
>
>
> ------------------------------
>
> Date: Wed, 23 Feb 2000 10:18:45 PST
> From: "kulmeen chadha" <[log in to unmask]>
> To: [log in to unmask]
> Subject: quit physio
> Message-Id: <[log in to unmask]>
>
> Quit physio
>
>
>
> ______________________________________________________
> Get Your Private, Free Email at http://www.hotmail.com
>
>
>
> ------------------------------
>
> Date: Wed, 23 Feb 2000 14:29:40 -0500
> From: "BECKY RODDA" <[log in to unmask]>
> To: [log in to unmask]
> Subject: Re: QUIT PHYSIO
> Message-Id: <[log in to unmask]>
>
> Quit physio>
>
>
> ------------------------------
>
> Date: Wed, 23 Feb 2000 20:39:59 -0000
> From: "Alison Dakin" <[log in to unmask]>
> To: "Physio" <[log in to unmask]>
> Subject: Leaflet translations
> Message-Id: <000801bf7e3e$3a830380$3744883e@alison>
>
> This is a multi-part message in MIME format.
>
> ------=_NextPart_000_0005_01BF7E3E.272A02C0
> Content-Type: text/plain;
> charset="iso-8859-1"
> Content-Transfer-Encoding: quoted-printable
>
> We are currently embarking on a review of our patient handouts and =
> leaflets and since many of our patients have Gujarati as their first =
> language we are looking at getting translations of some of them. Has any =
> one else had any experience in getting translations done, especially in =
> a very cost effective way! or know of any software etc that has foreign =
> language options?
>
> Alison Dakin
> Leicester General Hospital
> England
>
> ------=_NextPart_000_0005_01BF7E3E.272A02C0
> Content-Type: text/html;
> charset="iso-8859-1"
> Content-Transfer-Encoding: quoted-printable
>
> <!DOCTYPE HTML PUBLIC "-//W3C//DTD HTML 4.0 Transitional//EN">
> <HTML><HEAD>
> <META content=3D"text/html; charset=3Diso-8859-1" =
> http-equiv=3DContent-Type>
> <META content=3D"MSHTML 5.00.2614.3500" name=3DGENERATOR>
> <STYLE></STYLE>
> </HEAD>
> <BODY bgColor=3D#ffffff>
> <DIV><FONT face=3DArial>We are currently embarking on a review of our =
> patient=20
> handouts and leaflets and since many of our patients have Gujarati as =
> their=20
> first language we are looking at getting translations of some of them. =
> Has any=20
> one else had any experience in getting translations done, especially in =
> a very=20
> cost effective way! or know of any software etc that has foreign =
> language=20
> options?</FONT></DIV>
> <DIV> </DIV>
> <DIV><FONT face=3DArial>Alison Dakin</FONT></DIV>
> <DIV><FONT face=3DArial>Leicester General Hospital</FONT></DIV>
> <DIV><FONT face=3DArial>England</FONT></DIV></BODY></HTML>
>
> ------=_NextPart_000_0005_01BF7E3E.272A02C0--
>
>
>
> ------------------------------
>
> Date: Wed, 23 Feb 2000 21:54:36 +0000
> From: Carol David <[log in to unmask]>
> To: [log in to unmask]
> Subject: Re: Leaflet translations
> Message-Id: <[log in to unmask]>
>
>
> --------------4A30DFFF2C54081B6EE37B4B
> Content-Type: text/plain; charset=us-ascii
> Content-Transfer-Encoding: 7bit
>
> The Arthritis Research Campaign already provide a limited number of
> translated leaflets, and looked into the feasibility of extending the
> range a few years ago. I will look out the report but from what I
> remember there was a high proportion of illiteracy, especially amongst
> older people, which made translation uneconomical in a lot of cases and
> it was thought that audio tape might be a better option. There were also
> cultural differences intranslation (eg "oily fish" translated as "fried
> fish") and the suggestion that walking the dog was good exercise, was
> not well received in some cultures who do not keep dogs as pets. So -
> although it may be theoretically possible to find translating software,
> a. is it worth it and b. fluent English/Gujerati speakers/readers will
> be needed to check on the accuracy and appropriateness of the
> translation.
>
> I have had problems using relatives to translate, since it is often the
> youngsters who are bilingual, and it is considered impolite to tell your
> elders what to do. This was a problem when trying to instruct a mother
> in chest physio for her 15 year old muscular dystrophy child. He knew
> how to say it but didn't feel he could.
>
> I also tried to translate an inhaler leaflet into Urdu once. It was a
> nightmare. I was reading out the leaflet to one person who spoke Urdu
> but couldn't write, who then translated it to another person who didn't
> speak English but could speak and write Urdu, only to find that the
> patient couldn't read Urdu anyway! This combined with the difficulty of>
> back-translation to ensure that what I had said had been fully
> understood and accurately translated by person number 1 meant that it
> was a very short lived exercise.
>
> Best of luck with your can of worms....
>
> Regards,
> Carol David
>
> PS - For all the UK list members - did you see Tomorrow's World tonight
> where a French chef tried to give instructions (in French) for
> vinaigrette, using voice recognition/translation software? It was
> hilarious. Not quite "my postilion has been struck by lightning", but
> obviously the software has a long way to go - as anyone who has tried
> the AltaVista Babelfish translator may have found!
> Alison Dakin wrote:
>
> > We are currently embarking on a review of our patient handouts and
> > leaflets and since many of our patients have Gujarati as their first
> > language we are looking at getting translations of some of them. Has
> > any one else had any experience in getting translations done,
> > especially in a very cost effective way! or know of any software etc
> > that has foreign language options? Alison DakinLeicester General
> > HospitalEngland
>
> --------------4A30DFFF2C54081B6EE37B4B
> Content-Type: text/html; charset=us-ascii
> Content-Transfer-Encoding: 7bit
>
> <!doctype html public "-//w3c//dtd html 4.0 transitional//en">
> <html>
> <body bgcolor="#FFFFFF">
> The Arthritis Research Campaign already provide a limited number of translated
> leaflets, and looked into the feasibility of extending the range a few
> years ago. I will look out the report but from what I remember there was
> a high proportion of illiteracy, especially amongst older people, which
> made translation uneconomical in a lot of cases and it was thought that
> audio tape might be a better option. There were also cultural differences
> intranslation (eg "oily fish" translated as "fried fish") and the suggestion
> that walking the dog was good exercise, was not well received in some cultures
> who do not keep dogs as pets. So - although it may be theoretically possible
> to find translating software, a. is it worth it and b. fluent English/Gujerati
> speakers/readers will be needed to check on the accuracy and appropriateness
> of the translation.
> <p>I have had problems using relatives to translate, since it is often
> the youngsters who are bilingual, and it is considered impolite to tell
> your elders what to do. This was a problem when trying to instruct a mother
> in chest physio for her 15 year old muscular dystrophy child. He knew how
> to say it but didn't feel he could.
> <p>I also tried to translate an inhaler leaflet into Urdu once. It was
> a nightmare. I was reading out the leaflet to one person who spoke Urdu
> but couldn't write, who then translated it to another person who didn't
> speak English but could speak and write Urdu, only to find that the patient
> couldn't read Urdu anyway! This combined with the difficulty of back-translation
> to ensure that what I had said had been fully understood and accurately
> translated by person number 1 meant that it was a very short lived exercise.
> <p>Best of luck with your can of worms....
> <p>Regards,
> <br>Carol David
> <p>PS - For all the UK list members - did you see Tomorrow's World tonight
> where a French chef tried to give instructions (in French) for vinaigrette,
> using voice recognition/translation software? It was hilarious. Not quite
> "my postilion has been struck by lightning", but obviously the software
> has a long way to go - as anyone who has tried the AltaVista Babelfish
> translator may have found!
> <br>Alison Dakin wrote:
> <blockquote TYPE=CITE><style></style>
> <font face="Arial">We are currently
> embarking on a review of our patient handouts and leaflets and since many
> of our patients have Gujarati as their first language we are looking at
> getting translations of some of them. Has any one else had any experience>
> in getting translations done, especially in a very cost effective way!
> or know of any software e> tc that has foreign language options?</font> <font face="Arial">Alison
> Dakin</font><font face="Arial">Leicester General Hospital</font><font face="Arial">England</font></blockquote>
>
> </body>
> </html>
>
> --------------4A30DFFF2C54081B6EE37B4B--
>
>
>
>
>
> ------------------------------
>
> Date: Wed, 23 Feb 2000 16:48:05 -0800 (PST)
> From: "Laurie J. Lundy-Ekman" <[log in to unmask]>
> To: [log in to unmask]
> Subject: suspend physio
> Message-Id: <[log in to unmask]>
>
>
>
>
>
> ------------------------------
>
> Date: Wed, 23 Feb 2000 14:21:33 +0530
> From: "Sood" <[log in to unmask]>
> To: "Wendy Johnson" <[log in to unmask]>, <[log in to unmask]>,
> Subject: Re: pain & paresthesia.
> Message-Id: <000701bf7e7a$b2bb6a40$03000004@celeron266mhz>
>
> This is a multi-part message in MIME format.
>
> ------=_NextPart_000_00DE_01BF7E09.4936D940
> Content-Type: text/plain;
> charset="iso-8859-1"
> Content-Transfer-Encoding: quoted-printable
>
> Dear Windy Johnson,
> Thanks for your valuable opinion.
> 1.regarding X-rays in flexion and extension to judge stability of =
> spondylolisthesis .I remmember
> reading a paper on this subject where author of such study had =
> declared them to be unreliable.
> But we shall try to get these X-rays.
> 2.she have any saddle anaethesia?
> After standing for few minutes to cook ,she has paresthesia spreading =
> down in perineal region.
> 3.any gait disturbance?=20
> No
> 4.Is she unstable in her movements - e.g. hinging at L4/5
> area or jerky quality of movements.?
> No.
> Can you please explain briefly "In theory =
> you could also try firing up
> the local segmental multifidus."Are you referring to electrotherapy e.g =
> TENS surge/interferentials?
> Thanking you,
> Dr.Sarveshwar Sood
> Orthopaedic Surgeon & Head Department of Physical
> Medicine & Rehabilitation,
> Member American Academy Of Pain Management.
> S.B.L.S.Hospital=20
> 812/1,Housing Board Colony
> Model Town,Jalandhar city
> Punjab State.India
> E-mail [log in to unmask]
> http://Personal.vsnl.com/sarvesh
> =20
>
>
> ----- Original Message -----=20
> From: Wendy Johnson=20
> To: [log in to unmask]
> Sent: Saturday, February 19, 2000 12:03 AM
> Subject: Re: pain & paresthesia.
>
>
> Hope this helps...re: problem patient
>
> Although she cannot afford an MRI can you do x-rays in
> lumbar flexion and extension to see if that
> spondylolisthesis is stable or not - it sounds very
> unstable to me - re: flexed posture required
> permenently and the bilateral neural signs.
>
> I would really worry about those bilateral signs -I
> know you said no bladder or bowel problems, but does
> she have any saddle anaethesia? or any gait
> disturbance? Are there and sensory, reflex or myotome
> discrepancies? What are her neural dynamics like? Is
> she unstable in her movements - e.g. hinging at L4/5
> area or jerky quality of movements.?
>
> If the spondylolisthesis is unstable I would wager
> that she needs spinal fusion and there's not a great
> deal that you can do externally to help her other than
> pain relief and prevention of further dysfunction.
>
> If it's not unstable then maybe try LOADS of posterior
> pelvic tilts in conjunction with transversus abdominis
> focussed control work. This will take a long time to
> build up - especially because she's had 20 years of
> pain inhibition and the pain inhibition is likely to
> be continuing. In theory you could also try firing up
> the local segmental multifidus (only success I've had
> though requires a lot of patient perserverence and an
> EMG biofeedback).
>
>
> It would appear from your assessment that you follow a
> "McKenzie" repeated movements pattern of assessment ->
> although this is a good base for back assessment I
> would wager that there would be not a lot of benefit
> to this poor lady - she requires STABILITY and
> repetitive movement will only serve to mobilise the
> already hypermobile and unstable spondylolisthesis
> level.
>
> Hope this is of some assistance. Let me know
>
> Wendy Johnson MSc MCSP SRP MMACP
>
>
> ------=_NextPart_000_00DE_01BF7E09.4936D940
> Content-Type: text/html;
> charset="iso-8859-1"
> Content-Transfer-Encoding: quoted-printable
>
> <!DOCTYPE HTML PUBLIC "-//W3C//DTD HTML 4.0 Transitional//EN">
> <HTML><HEAD>
> <META content=3D"text/html; charset=3Diso-8859-1" =
> http-equiv=3DContent-Type>
> <META content=3D"MSHTML 5.00.2014.210" name=3DGENERATOR>
> <STYLE></STYLE>
> </HEAD>
> <BODY bgColor=3D#ffffff>
> <DIV>Dear Windy Johnson,</DIV>
> <DIV> =
> =20
> =
> =20
> <EM><STRONG>Thanks </STRONG></EM>for your =
> valuable=20
> opinion.</DIV>
> <DIV>1.regarding X-rays in flexion and extension to judge stability of=20
> spondylolisthesis .I remmember</DIV>
> <DIV> reading a paper on this subject where author of such study =
> had=20
> declared them to be unreliable.</DIV>
> <DIV> But we shall try to get these X-rays.</DIV>
> <DIV>2.she have any saddle anaethesia?</DIV>
> <DIV> After standing for few minutes to cook ,she has =
> paresthesia=20
> spreading down in perineal region.</DIV>
> <DIV>3.any gait disturbance? </DIV>
> <DIV> No</DIV>
> <DIV>4.Is she unstable in her movements - e.g. hinging at L4/5<BR>area =
> or jerky=20
> quality of movements.?</DIV>
> <DIV>No.</DIV>
> <DIV> =
> =20
> Can you please =
> explain=20
> briefly "In theory you could also try firing up<BR>the local segmental=20
> multifidus."Are you referring to electrotherapy e.g TENS=20
> surge/interferentials?</DIV>
> <DIV> =
> =20
> =
> =20
> Thanking you,</DIV>
> <DIV>Dr.Sarveshwar Sood<BR>Orthopaedic Surgeon & Head Department of=20
> Physical<BR>Medicine & Rehabilitation,<BR>Member American Academy Of =
> Pain=20
> Management.<BR>S.B.L.S.Hospital <BR>812/1,Housing Board Colony<BR>Model=20
> Town,Jalandhar city<BR>Punjab State.India<BR>E-mail <A=20
> href=3D"mailto:[log in to unmask]">[log in to unmask]</A><BR><A=20
> href=3D"http://Personal.vsnl.com/sarvesh">http://Personal.vsnl.com/sarves=
> h</A><BR> &nbs=
> p;  =
> ; =20
> <BR><BR></DIV>
> <BLOCKQUOTE=20
> style=3D"BORDER-LEFT: #000000 2px solid; MARGIN-LEFT: 5px; MARGIN-RIGHT: =
> 0px; PADDING-LEFT: 5px; PADDING-RIGHT: 0px">
> <DIV style=3D"FONT: 10pt arial">----- Original Message ----- </DIV>
> <DIV=20
> style=3D"BACKGROUND: #e4e4e4; FONT: 10pt arial; font-color: =
> black"><B>From:</B>=20
> <A href=3D"mailto:[log in to unmask]" =
> [log in to unmask]>Wendy=20
> Johnson</A> </DIV>
> <DIV style=3D"FONT: 10pt arial"><B>To:</B> <A =
> href=3D"mailto:[log in to unmask]"=20
> [log in to unmask]>[log in to unmask]</A> </DIV>
> <DIV style=3D"FONT: 10pt arial"><B>Sent:</B> Saturday, February 19, =
> 2000 12:03=20
> AM</DIV>
> <DIV style=3D"FONT: 10pt arial"><B>Subject:</B> Re: pain &=20
> paresthesia.</DIV>
> <DIV><BR></DIV>
> <DIV>Hope this helps...re: problem patient<BR><BR>Although she cannot =
> afford=20
> an MRI can you do x-rays in<BR>lumbar flexion and extension to see if=20>
> that<BR>spondylolisthesis is stable or not - it so> unds =
> very<BR>unstable to me=20
> - re: flexed posture required<BR>permenently and the bilateral neural=20
> signs.<BR><BR>I would really worry about those bilateral signs =
> -I<BR>know you=20
> said no bladder or bowel problems, but does<BR>she have any saddle =
> anaethesia?=20
> or any gait<BR>disturbance? Are there and sensory, reflex or=20
> myotome<BR>discrepancies? What are her neural dynamics like? Is<BR>she =
>
> unstable in her movements - e.g. hinging at L4/5<BR>area or jerky =
> quality of=20
> movements.?<BR><BR>If the spondylolisthesis is unstable I would =
> wager<BR>that=20
> she needs spinal fusion and there's not a great<BR>deal that you can =
> do=20
> externally to help her other than<BR>pain relief and prevention of =
> further=20
> dysfunction.<BR><BR>If it's not unstable then maybe try LOADS of=20
> posterior<BR>pelvic tilts in conjunction with transversus=20
> abdominis<BR>focussed control work. This will take a long time =
> to<BR>build up=20
> - especially because she's had 20 years of<BR>pain inhibition and the =
> pain=20
> inhibition is likely to<BR>be continuing. In theory you could also try =
> firing=20
> up<BR>the local segmental multifidus (only success I've had<BR>though =
> requires=20
> a lot of patient perserverence and an<BR>EMG biofeedback).<BR></DIV>
> <DIV><BR>It would appear from your assessment that you follow =
> a<BR>"McKenzie"=20
> repeated movements pattern of assessment -<BR>although this is a good =
> base for=20
> back assessment I<BR>would wager that there would be not a lot of=20
> benefit<BR>to this poor lady - she requires STABILITY =
> and<BR>repetitive=20
> movement will only serve to mobilise the<BR>already hypermobile and =
> unstable=20
> spondylolisthesis<BR>level.<BR><BR>Hope this is of some assistance. =
> Let me=20
> know<BR><BR>Wendy Johnson MSc MCSP SRP=20
> MMACP<BR></DIV></BLOCKQUOTE></BODY></HTML>
>
> ------=_NextPart_000_00DE_01BF7E09.4936D940--
>
>
>
> ------------------------------
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